Takahashi, Gary W

Takahashi, Gary W is an individual health care provider with primary practice located at 15700 Sw Greystone Court , Beaverton OR 97006-6011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Takahashi, Gary W can be contacted via phone (503) 203-1000.

Contact Information

Primary practice address
15700 Sw Greystone Court Beaverton OR 97006-6011
Phone: (503) 203-1000
Fax: (503) 203-1010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD14500 Oregon

Profile Details

NPI number 1881697415
LBN Legal business name Takahashi, Gary W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Oct 17th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881697415 NPPES
Oregon Other CV0082 RR MEDICARE GROUP NUMBER
Oregon Other 00WFBBCC RR MEDICARE GROUP NUMBER
Oregon MEDICAID 54853 RR MEDICARE GROUP NUMBER

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